Specialist, Community Engagement Medicare - Green Bay, WI, United States

+The Sr Specialist Compliance Practices Oversight serves as support between the Compliance department and the Sales and Marketing functional departments. · + · +Serve as a subject matter expert (SME) in the guidelines and regulations for Medicare and Medicaid operational and mark ...

We are looking for a relationship-driven professional to join our team as an Agent Relations Representative. The successful candidate will play a key role in supporting and empowering independent insurance agents within the Medicare industry. · ...

The Director of Customer Service & Call Center Operations is a senior leadership role responsible for building and leading a culturally competent contact center that serves an elderly Medicare population. This role goes beyond traditional call center management, focusing on patie ...

Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education... · ...

Molina Health Plan Network Provider Relations jobs are responsible for network development · in alignment with Molina Healthcare's overall mission and strategic plan. · ...

Responsible for the development and maintenance of an effective and efficient broker channel for assigned geographical region. Work in collaboration with other Broker Channel Managers, Field Sales Managers, Directors, and AVPs as needed in assigned states. · ...

We are seeking a purpose-driven strategic VP or Director of Marketing to lead advertising and marketing efforts for two leading healthcare organizations. · 8–15 years of experience in consumer marketing. · Prior experience in healthcare Medicare Advantage or mission-driven sector ...

The Sr Specialist Compliance Practices Oversight serves as support between the Compliance department and the Sales and Marketing functional departments and is the go-to resource for Sales on initial compliance matters. · Serve as a subject matter expert (SME) in the guidelines an ...

We are a high-performing Managed Services Organization (MSO) supporting a Primary Care Independent Practice Association (IPA) operating under Full-Risk Medicare Advantage Value-Based Care contracts. Our organization partners with primary care providers to deliver high-quality, pa ...

The Senior Quality Analyst plays a key role in improving care for older adults by analyzing performance data, supporting quality improvement initiatives, and ensuring compliance with CMS STAR rating goals. · ...

The Director of Customer Service & Call Center Operations is a senior leadership role responsible for building, leading, and continuously elevating a culturally competent contact center that serves a predominantly Asian elderly Medicare population. This role goes beyond tradition ...

The Provider Relations Manager provides subject matter expertise and leadership for health plan provider relations activities. · At least 6 years of provider services experience. · A strong understanding of the health care delivery system. · Experience with various managed health ...

The Senior Director of Claims Operations & Provider Configuration is a senior operational leader responsible for end-to-end claims execution provider setup/configuration and claims system integrity across a fully delegated full-risk Medicare Advantage environment. · <liOwn end-to ...

Job SummaryThe Program Director leads enterprise level programs and initiatives within Molina's Risk Adjustment Clinical Data Acquisition team. · Leads the strategic planning execution and delivery of clinical data acquisition programs supporting enterprise Risk Adjustment goals ...

Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. · -Negotiates contracts and letters of agreemen ...

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans. · This position p ...

SCAN Group is seeking an inspirational, visionary, and operationally rigorous Chief Medical Officer (CMO) to serve as the enterprise's senior clinical leader and steward of its clinical culture. · ...

Serve as a full-stack data and analytics engineer within a business-aligned scrum team. · ...

We are seeking a Full-Stack Data and Analytics Engineer to join our team at SCAN Group. This role will design develop and deliver end-to-end solutions including data pipelines models semantic layers and visualizations while playing a hands-on role in enabling AI/ML use cases. · C ...

Are you a relationship-driven professional with a passion for service and collaboration? Do you enjoy helping others succeed while building long-term partnerships? · ...